
Edit Resolution Specialist
3 days ago
We are seeking a skilled Edit Resolution Specialist to join our team. The successful candidate will be responsible for resolving held claim edits, rejections, and denials in accordance with policies, procedures, and regulatory guidelines.
Key Responsibilities
- Review and resolve held claims through meticulous data analysis and verification of accurate coding practices.
- Identify and address revenue cycle discrepancies, ensuring timely submission of corrected claims to payers.
- Develop and maintain expertise in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems to accurately assign codes and modifiers.
Requirements
- A minimum of 2 years of experience in revenue cycle operations, with a focus on coding quality and compliance.
- Proficiency in relevant coding software and systems, including CDM management and charge validation tools.
- Excellent analytical and problem-solving skills, with the ability to work independently and as part of a team.
- Active certification from AHIMA or AAPC is required within one year of employment.
Benefits
- Competitive salary and performance-based bonuses.
- Comprehensive benefits package, including group life insurance and PTO credits.
- Opportunities for professional growth and development, with ongoing training and support.
About Us
We offer a dynamic and supportive work environment, with a strong emphasis on collaboration and continuous improvement. Our team is dedicated to delivering exceptional service and achieving excellence in all aspects of our operations.
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